Abstract

Pyoderma gangrenosum(PG) is a rare neutrophilic dermatosis characterized by painful necrotic ulcerations. It affects patients between the age of 40 and 60 years. Clinically, it presents as a very painful papulopustule or bulla which rapidly progresses to form deep necrotic ulcers. Hematologic malignancies are commonly linked with bullous PG. We report a case of bullous PG who presented with multiplehaemorrhagic blisters without any systemic associations.

Highlights

  • Pyoderma gangrenosum (PG) is a sterile neutrophilic dermatosis of unidentified etiology affecting patients between 40 to 60 years [1]

  • Pain is often excruciating and out of proportion to the size of the ulcer. It is frequently associated with other systemic diseases like inflammatory bowel disease (IBD), rheumatological disorders, haematological abnormalities, connective tissue disorders

  • Pyoderma gangrenosum (PG) is a rare idiopathic sterile neutrophilic skin dermatosis characterized by an ulcer which is extremely painful

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Summary

Introduction

Pyoderma gangrenosum (PG) is a sterile neutrophilic dermatosis of unidentified etiology affecting patients between 40 to 60 years [1]. It is frequently associated with other systemic diseases like inflammatory bowel disease (IBD), rheumatological disorders, haematological abnormalities, connective tissue disorders. Lesions initially started on the right palm as papulopustule which rapidly spread to involve the left palm, dorsal aspect of both hands and finger tips and were associated with severe pain. Dermatological examination revealed multiple discrete well-defined tender tense haemorrhagic bullae on the palmar aspect of both hands.

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